Individual
DR. SYED R QUADRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1311 RING RD, STE 105, ELIZABETHTOWN, KY 42701-8941
(270) 769-0892
(270) 769-1857
Mailing address
1321 RING RD, STE 105, ELIZABETHTOWN, KY 42701-8940
(270) 986-7373
(270) 769-1857
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34388
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000519677
ANTHEM
—
05
—
64014152
—
KY
01
—
7066070
AETNA
KY
Enumeration date
08/07/2006
Last updated
04/26/2017
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